VBS Student Registration

Instructions: 
Use this form to register Students who have completed K4 through 5th Grade for CSP VBS 2017.
*Starred items are required. 
Your registration is complete when you click the 'SUBMIT MY REGISTRATION' button below and see the word SUCCESS!


Student Section
Any Allergies or Medical Concerns? *
Family Information
Primary Phone # *
Primary Phone #
Secondary Phone
Secondary Phone
Home Church
Emergency Contact Information
Emergency Contact Phone Number *
Emergency Contact Phone Number
Authorization for Pickup
The following person(s) are permitted to pick up my child/children
Authorized Person Phone # *
Authorized Person Phone #